Monument Health Spearfish Hospital
Spearfish, Lawrence County, SD
· CCN 430048
Licensed to Monument Health Network Inc
Composite
30.5
rank score
Distress
25
FY2024
Fit
48
vs thesis
Estimated ticket
$2.4M–$4.8M
24 beds ·
within envelope
Ownership
nonprofit
STH
Why it ranks here
- under 30 days cash on hand
- current ratio under 1.5
- occupancy 45-60%
- rural — cheaper but limited density
- very small facility
- very small ticket — sub-scale as a platform asset
- moderate occupancy
- nonprofit — expect AG conversion review
Latest financials · FY2024
| Net patient revenue | $125M |
| Operating margin | 3.9% |
| Total margin | 6.2% |
| Days cash on hand | 1 |
| Current ratio | 1.38 |
| Occupancy | 47% |
Facility
| Beds | 24 |
| Facility type | STH |
| Setting | rural |
| Ownership class | nonprofit |
| Per-bed (low) | $100K |
| Per-bed (high) | $200K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 27 | $103M | $4.5M | -1.8% | 4.1% | 3 | 0.03 | 41% | 1,488 | 61 |
| 2022 | 27 | $114M | $11.4M | 3.6% | 9.4% | 0 | 0.02 | 47% | 1,476 | 46 |
| 2023 | 27 | $117M | $7.4M | 1.9% | 6.1% | 11 | 0.02 | 41% | 1,358 | 56 |
| 2024 | 24 | $125M | $7.9M | 3.9% | 6.2% | 1 | 1.38 | 47% | 1,399 | 25 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Monument Health Inc | operational/managerial control | 100 | 2005-07 | |
| Ruta Davidson | w-2 managing employee | 100 | 2018-08 | |
| Ruta Davidson | operational/managerial control | 100 | 2018-08 | |
| Austin Willuweit | w-2 managing employee | 50 | 2016-05 | |
| Austin Willuweit | operational/managerial control | 50 | 2023-07 | |
| Thomas Worsley | w-2 managing employee | 50 | 2018-03 | |
| Thomas Worsley | operational/managerial control | 50 | 2018-03 | |
| Mark Schmidt | w-2 managing employee | 25 | 2015-06 | |
| Mark Schmidt | operational/managerial control | 25 | 2015-06 | |
| Austin Willuweit | corporate officer | 2023-07 | ||
| Charles Lewis | corporate director | 2022-06 | ||
| Fred Lamphere | corporate director | 2023-12 | ||
| Heather Brewer | corporate director | 2020-07 | ||
| Jason Knudson | corporate director | 2021-07 | ||
| John Williams | corporate director | 2023-08 | ||
| Kathryn Johnson | corporate director | 2020-07 | ||
| Phillip Abernathy | corporate director | 2024-07 | ||
| Ron Van Dyke | w-2 managing employee | 2012-01 | ||
| Ron Van Dyke | operational/managerial control | 2012-01 | ||
| Ruta Davidson | corporate director | 2018-08 |
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.